Provider Demographics
NPI:1982123741
Name:PRECISION HEALTH CARE, INC
Entity Type:Organization
Organization Name:PRECISION HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-367-1444
Mailing Address - Street 1:441 DONELSON PIKE
Mailing Address - Street 2:SUITE 395
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3565
Mailing Address - Country:US
Mailing Address - Phone:615-367-1444
Mailing Address - Fax:888-615-1445
Practice Address - Street 1:803 N THOMPSON LANE
Practice Address - Street 2:SUITE 101 A
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4330
Practice Address - Country:US
Practice Address - Phone:615-624-9251
Practice Address - Fax:888-615-1445
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRECISION HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-13
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3141066Medicaid